Relocation Assistance Inquiry Form


Please fill out the form below so that we
will have a solid understanding of your relocation needs.


* = Required Field

* Name:
*Address:
*City:
*State:
*Zip:
*Country:
*Email Address:


* Best phone number to reach you at:
(please include area code)
-

* Best time of the day to reach
you at the above phone number:
DAY
EVENING
ANYTIME


Alternate Phone Number
(please include area code):
-

Best time of the day to reach
you at the above phone number:
DAY
EVENING
ANYTIME


What city, state, or area will you be relocating to?



I Will Need Relocation Assistance In:
Selling a home
Purchasing a home
Selling and purchasing


How soon will you be relocating?


I will be relocating because of:



If you are relocating because of a corporate
transfer, will you be receiving relocation
assistance or benefits, from your company?



The price range of the home I will be purchasing will be:



The price range of the home I will be selling is:



If you will be purchasing a home, how much of
your savings and/or equity will you be investing?



Please use the box below to write additional comments
or specific information pertaining to your relocation needs.



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Steve Hatfield, Realtor®
CENTURY 21 Curran & Christie
25636 Ford Road
Dearborn Heights, MI 48127
Office: (313) 274-7200
eMail:


Copyright © 1996 - Steve Hatfield
Any Reproduction or Redistribution Without Authorization is Strictly Prohibited

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